The Collapse of Big Law: A Cautionary Tale for Big Med

By artappraiser on Tue, 02/11/2014 - 10:11pm |

The legal industry's obsession with performance metrics has contributed to its dramatic collapse. Could the same happen with physicians and hospitals?

By Richard Gunderman and Mark Mutz, The Atlantic, Feb. 11, 2014

Lawyers have something to teach doctors. But it is not how to avoid medical malpractice claims, protect patients’ rights, or negotiate better contracts with hospitals and insurance companies. Instead it is a cautionary tale—a tale of woe, really—about pitfalls the medical profession needs to guard against if it wants to avoid reprising the epidemic of de-professionalization and demoralization that has beset lawyers and the legal profession.

Part of the explanation is simply economic [....]

But look deeper still and other more fundamental problems emerge [....]

Medicine lags behind the law by several decades, but it is now proceeding down the same path [....]

URL:

http://www.theatlantic.com/business/archive/2014/02/the-collapse-of-big-law-a-cautionary-tale-for-big-med/283736/

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"To professionals who choose careers in fields such as law, (...) it is demoralizing to be treated as a unit of production. Even some of the lawyers earning millions of dollars report that they find little or no fulfillment in the work they do."

Heartbreaking stuff, this.

by Lurker on Wed, 02/12/2014 - 9:57am

Yeah, well, I posted the story with ambivalent feelings. It was sorta like this: is this a warning about what the rest of us would actually like to see happen or what we wouldn't like to see happen, or do we want something different to happen? I figured in the end it was worth it to read his analysis of the situation as it stands, whether one is at where he coming from or not. My own prejudices admitted: in general, when I see the term "big med," I tend to come at it this way: not a good thing.

by artappraiser on Wed, 02/12/2014 - 12:40pm

In one major aspect, medicine is superior to law practice in that questions are constantly being asked. If clinicians feel new guidelines are full of crap they can say so. The discussions go on in journals and at national meetings. Studies are performed to assess if PSA and mammography are crap, for example. Most important discussions are not hidden from the public, they are put in print.

by rmrd0000 on Wed, 02/12/2014 - 1:00pm

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